Provider Demographics
NPI:1760268049
Name:BRADY, PARES T
Entity Type:Individual
Prefix:MS
First Name:PARES
Middle Name:T
Last Name:BRADY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3526 ZINSLE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45213-1856
Mailing Address - Country:US
Mailing Address - Phone:513-262-9874
Mailing Address - Fax:
Practice Address - Street 1:3526 ZINSLE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45213-1856
Practice Address - Country:US
Practice Address - Phone:513-262-9874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No172A00000XOther Service ProvidersDriver
No251X00000XAgenciesSupports Brokerage
No376J00000XNursing Service Related ProvidersHomemaker